Identity Verification and Management of Electronic Health Records with Blockchain Technology

Author(s):  
Yiheng Liang
10.2196/13585 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e13585 ◽  
Author(s):  
Jan Heinrich Beinke ◽  
Christian Fitte ◽  
Frank Teuteberg

Background Data security issues still constitute the main reason for the sluggish dissemination of electronic health records (EHRs). Given that blockchain technology offers the possibility to verify transactions through a decentralized network, it may serve as a solution to secure health-related data. Therefore, we have identified stakeholder-specific requirements and propose a blockchain-based architecture for EHRs, while referring to the already existing scientific discussions on the potential of blockchain for use in EHRs. Objective This study aimed to introduce blockchain technology for EHRs, based on identifying stakeholders and systematically eliciting their requirements, and to discuss the key benefits (KBs) and key challenges (KCs) of blockchain technology in the context of EHRs. Methods The blockchain-based architecture was developed in the framework of the design science research paradigm. The requirements were identified using a structured literature review and interviews with nine health care experts. Subsequently, the proposed architecture was evaluated using 4 workshops with 15 participants. Results We identified three major EHR stakeholder groups and 34 respective requirements. On this basis, we developed a five-layer architecture. The subsequent evaluation of the artifact was followed by the discussion of 12 KBs and 12 KCs of a blockchain-based architecture for EHRs. To address the KCs, we derived five recommendations for action for science and practice. Conclusions Our findings indicate that blockchain technology offers considerable potential to advance EHRs. Improvements to currently available EHR solutions are expected, for instance, in the areas of data security, traceability, and automation by smart contracts. Future research could examine the patient’s acceptance of blockchain-based EHRs and cost-benefit analyses.


2019 ◽  
Author(s):  
Jan Heinrich Beinke ◽  
Christian Fitte ◽  
Frank Teuteberg

BACKGROUND Data security issues still constitute the main reason for the sluggish dissemination of electronic health records (EHRs). Given that blockchain technology offers the possibility to verify transactions through a decentralized network, it may serve as a solution to secure health-related data. Therefore, we have identified stakeholder-specific requirements and propose a blockchain-based architecture for EHRs, while referring to the already existing scientific discussions on the potential of blockchain for use in EHRs. OBJECTIVE This study aimed to introduce blockchain technology for EHRs, based on identifying stakeholders and systematically eliciting their requirements, and to discuss the key benefits (KBs) and key challenges (KCs) of blockchain technology in the context of EHRs. METHODS The blockchain-based architecture was developed in the framework of the design science research paradigm. The requirements were identified using a structured literature review and interviews with nine health care experts. Subsequently, the proposed architecture was evaluated using 4 workshops with 15 participants. RESULTS We identified three major EHR stakeholder groups and 34 respective requirements. On this basis, we developed a five-layer architecture. The subsequent evaluation of the artifact was followed by the discussion of 12 KBs and 12 KCs of a blockchain-based architecture for EHRs. To address the KCs, we derived five recommendations for action for science and practice. CONCLUSIONS Our findings indicate that blockchain technology offers considerable potential to advance EHRs. Improvements to currently available EHR solutions are expected, for instance, in the areas of data security, traceability, and automation by smart contracts. Future research could examine the patient’s acceptance of blockchain-based EHRs and cost-benefit analyses.


2019 ◽  
Author(s):  
Yonggang Xiao ◽  
Yanbing Liu ◽  
Yunjun Wu ◽  
Tun Li ◽  
Xingping Xian ◽  
...  

BACKGROUND The maintenance of accurate health records of patients is a requirement of health care professionals. Furthermore, these records should be shared across different health care organizations in order for professionals to have a complete review of medical history and avoid missing important information. Nowadays, health care providers use electronic health records (EHRs) as a key to accomplishment of these jobs and delivery of quality care. However, there are technical and legal hurdles that prevent the adoption of these systems, such as the concern about performance and privacy issues. OBJECTIVE The aim of this paper is to build and evaluate an experimental blockchain for EHRs, named HealthChain, which addresses the disadvantages of traditional EHR systems. METHODS HealthChain is built based on consortium blockchain technology. Specifically, three stakeholders, namely hospitals, insurance providers, and governmental agencies, form a consortium that operates under a governance model, which enforces the business logic agreed by all participants. Peer nodes host instance of the distributed ledger consisting of EHRs, and instance of chaincode regulating the permissions of participants; designated orderers establish consensus on the order of EHRs and then disseminate blocks to peers. RESULTS HealthChain achieves the functional and non-functional requirements. While it can store EHRs in distributed ledger and share them among different participants, it demonstrates superior features, such as privacy preserving, security, and high throughout. These are the main reasons why HealthChain is proposed. CONCLUSIONS Consortium blockchain technology can help build EHR system and solve the problems that prevent the adoption of traditional ones.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243043
Author(s):  
Shekha Chenthara ◽  
Khandakar Ahmed ◽  
Hua Wang ◽  
Frank Whittaker ◽  
Zhenxiang Chen

The privacy of Electronic Health Records (EHRs) is facing a major hurdle with outsourcing private health data in the cloud as there exists danger of leaking health information to unauthorized parties. In fact, EHRs are stored on centralized databases that increases the security risk footprint and requires trust in a single authority which cannot effectively protect data from internal attacks. This research focuses on ensuring the patient privacy and data security while sharing the sensitive data across same or different organisations as well as healthcare providers in a distributed environment. This research develops a privacy-preserving framework viz Healthchain based on Blockchain technology that maintains security, privacy, scalability and integrity of the e-health data. The Blockchain is built on Hyperledger fabric, a permissioned distributed ledger solutions by using Hyperledger composer and stores EHRs by utilizing InterPlanetary File System (IPFS) to build this healthchain framework. Moreover, the data stored in the IPFS is encrypted by using a unique cryptographic public key encryption algorithm to create a robust blockchain solution for electronic health data. The objective of the research is to provide a foundation for developing security solutions against cyber-attacks by exploiting the inherent features of the blockchain, and thus contribute to the robustness of healthcare information sharing environments. Through the results, the proposed model shows that the healthcare records are not traceable to unauthorized access as the model stores only the encrypted hash of the records that proves effectiveness in terms of data security, enhanced data privacy, improved data scalability, interoperability and data integrity while sharing and accessing medical records among stakeholders across the healthchain network.


Author(s):  
Sathiyabhama B. ◽  
Rajeswari K. C. ◽  
Reenadevi R. ◽  
Arul Murugan R.

Technology is a boon to mankind in this fast-growing era. The advancement in technology is the predominant factor for the sophisticated way of living of the people. In spite of technology, revolution happens across the world, and mankind still suffers due to various health issues. Healthcare industries take immense measures to improve the quality of life. An enormous volume of digital data is being handled every day in the healthcare industry. There arises a need for the intervention of technology in the healthcare industry to be taken to a greater extent. The prime duty of any healthcare industry is to store and maintain those data in the form of electronic health records (EHR) in a secured manner.


Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2865
Author(s):  
Ibrahim Abunadi ◽  
Ramasamy Lakshmana Kumar

In the current epoch of smart homes and cities, personal data such as patients’ names, diseases and addresses are often violated. This is frequently associated with the safety of the electronic health records (EHRs) of patients. EHRs have numerous benefits worldwide, but at present, EHR information is subject to considerable security and privacy issues. This paper proposes a way to provide a secure solution to these issues. Previous sophisticated techniques dealing with the protection of EHRs usually make data inaccessible to patients. These techniques struggle to balance data confidentiality, patient demand and constant interaction with provider data. Blockchain technology solves the above problems since it distributes information in a transactional and decentralized manner. The usage of blockchain technology could help the health sector to balance the accessibility and privacy of EHRs. This paper proposes a blockchain security framework (BSF) to effectively and securely store and keep EHRs. It presents a safe and proficient means of acquiring medical information for doctors, patients and insurance agents while protecting the patient’s data. This work aims to examine how our proposed framework meets the security needs of doctors, patients and third parties and how the structure addresses safety and confidentiality concerns in the healthcare sector. Simulation outcomes show that this framework efficiently protects EHR data.


Author(s):  
Sathiyabhama B. ◽  
Rajeswari K. C. ◽  
Reenadevi R. ◽  
Arul Murugan R.

Technology is a boon to mankind in this fast-growing era. The advancement in technology is the predominant factor for the sophisticated way of living of the people. In spite of technology, revolution happens across the world, and mankind still suffers due to various health issues. Healthcare industries take immense measures to improve the quality of life. An enormous volume of digital data is being handled every day in the healthcare industry. There arises a need for the intervention of technology in the healthcare industry to be taken to a greater extent. The prime duty of any healthcare industry is to store and maintain those data in the form of electronic health records (EHR) in a secured manner.


10.29007/2x3r ◽  
2019 ◽  
Author(s):  
Suboh Alkhushayni ◽  
Du'A Al-Zaleq ◽  
Nadine L Gadjou Kengne

Blockchain technology is on the cusp of revolutionizing the way we handle healthcare data, in term of storage and utilization. The main goal is to empower patients to be the center of their own health record so that, the patient doesn't have to rely on different institutions or hospitals they might visit. Blockchain technology and smart contracts provide an interesting and innovative way to keep track of Electronic Health Records (EHRs). This technology could help the patients to have better control of their own data. Health professionals and institutions, such as hospitals, could have access to patient’s data owned by other institutions. In the present article, we discuss how blockchain technologies can be used to handle EHR while improving the efficiency of operations through streamlining processes and transparency. We propose an architecture to manage and share healthcare data among different organizations. The proposed work could significantly reduce the time needed to share patient data among different health organizations and reduce the overall cost.


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